Spinal Cord Stimulation & Neuromodulation Expert Witness

Spinal cord stimulation (SCS) is a core interventional pain therapy. It often comes up in litigation, both because of its complications and as a future-care item in injury cases. Dr. Urits has published widely on SCS technique, practice patterns, and complications.

Common issues

Patient selection, psychological screening, and the trial period

Lead placement technique, dural puncture, and neurological injury

Lead migration, infection, pocket pain, and decisions to explant or reimplant

Device programming and salvaging an unsuccessful trial

Future care: battery replacement, revisions, and expected device life

Relevant publications by Dr. Urits

Vu PD, …, Urits I, Hasoon J. Biologic Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Narrative Review. Orthop Rev (Pavia). 2024.

Southerland WA, Hasoon J, Urits I, et al. Dural Puncture During Spinal Cord Stimulator Lead Insertion: Analysis of Practice Patterns. Anesth Pain Med. 2022.

Gill JS, Kohan LR, Hasoon J, Urits I, et al. A Survey on the Choice of Spinal Cord Stimulation Parameters and Implantable Pulse Generators and on Reasons for Explantation. Orthop Rev (Pavia). 2022.

Sarrafpour S, Hasoon J, Urits I, et al. Antibiotics for Spinal Cord Stimulation Trials and Implants: A Survey Analysis of Practice Patterns. Anesth Pain Med. 2021.

Urits I. Case at a glance: radiographic evidence of percutaneously implanted spinal cord stimulator lead migration. Pain Management Case Reports. 2020.